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Organization

PHOEBE NEUROLOGY

Active
Parent organization
PHOEBE PHYSICIAN GROUP INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PHOEBE PHYSICIAN GROUP INC
Authorized official
ROBERT LAGESSE (SR VP PHYS PRACTICES)
(229) 312-1000
Entity
Organization

Contact information

Practice address
2709 MEREDYTH DR, STE 230, ALBANY, GA 31707-0218
(229) 312-5080
(229) 312-5085
Mailing address
2709 MEREDYTH DR, STE 230, ALBANY, GA 31707-0222
(229) 312-5080
(229) 312-5085

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
064610
GA

Other

Enumeration date
06/10/2010
Last updated
06/10/2010
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